Private Care (Prevention × Specialist Medicine)
At Nishi-Azabu Clinic, our self-pay services (self-pay; not covered by Japanese public insurance) are designed to protect your current health and reduce future disease risk, leveraging our expertise in Diabetes & Endocrinology.
- Appointments & Staffing
- • Except for IV therapy/placental extract, private services are by appointment only.
• Physician Dr. Koji Hayashi.
- Menu
- • Obesity Clinic (Zepbound® / Mounjaro® program) Safe, medical weight management by an endocrinology/diabetes specialist for eligible adults.
• Diabetes Checkup (CGM Dock) Uses Continuous Glucose Monitoring (CGM), OGTT, and sleep apnea screening (SAS) to make diet, activity, and sleep “visible” and prevent complications.
• IV Beauty Therapy / Placental Injections Physician-selected options used regularly by our staff for fatigue and skin condition. (May be paused depending on supply.)
Obesity Clinic (Zepbound® / Mounjaro® Program)
Eligibility (basic) Adults who meet medical criteria for obesity and have insufficient response to diet/exercise. Final suitability is determined after evaluation.
- Initial Evaluation
- • Blood tests, medical history, medication review, goal setting, lifestyle review, vitals, and body measurements
- Core Treatment
- • Zepbound® 2.5 mg (4 pens / ~1 month): ¥23,800
• Zepbound® 5 mg (4 pens / ~1 month): ¥44,800
• Monthly dose escalation per standard protocol (≥7.5 mg on request)
• Monthly visit with side-effect check; blood tests every 3 months
- Main risks/side effects
- Nausea, vomiting, diarrhea/constipation, reduced appetite, fatigue, dehydration, gallstones/cholecystitis, pancreatitis, hypoglycemia (with diabetes meds), etc.
- Contraindications/precautions
- Personal/family history of medullary thyroid carcinoma (MTC)/MEN2, pregnancy or breastfeeding, serious GI disease, etc.
- Standard Fees (incl. tax)
- • Initial evaluation package: ¥20,000
(blood tests, history/meds, goals, lifestyle review, vitals, body measurements)
- Optional Add-ons (after first visit)
- • Labs (HbA1c, lipids, liver/biliary/pancreas/renal function, uric acid, electrolytes, etc.): ¥9,900
• Nutrition counseling (30 min): ¥5,500
• Strength training/exercise counseling (30 min): ¥5,500
Medication prices may change with dose, supply, or price revisions.
Diabetes Checkup (CGM Dock)
Purpose Visualize glucose to prevent complications, avoid diabetes onset, and improve performance.
- Components (CGM Dock Lite)
- 1. Initial evaluation
history/meds review; blood tests (e.g., HbA1c, serum C-peptide, anti-GAD Ab, lipids, liver/renal function, urine albumin)
2. CGM fitting (e.g., FreeStyle Libre 2) for 14 days
3. Analysis TIR, post-meal hyperglycemia, nocturnal hypoglycemia, variability metrics
4. Results consultation
Main risks Local skin irritation/itching, sensor detachment
- Standard Fees (incl. tax)
- • CGM Dock Lite: ¥29,800 (initial evaluation + fitting + analysis + results visit + 1 sensor)
• CGM Dock Pro: ¥39,800 (above + OGTT)
• Trial CGM: ¥8,300 / sensor
• Additional Libre 2 sensor: ¥8,300 / sensor
- Options
- • SAS home screening: ¥14,800 (device rental, analysis, results explanation)
• Thyroid panel (TSH, FT4, FT3): ¥5,800
• Adrenal panel (AM cortisol, ACTH): ¥6,800
• Liver ultrasound: ¥7,800
- Consultation Fees (Private Care, incl. tax)
- • First visit: ¥6,600
• Follow-up: ¥3,300
IV Beauty Therapy / Placenta
Purpose: Short sessions to ease fatigue and support skin condition as a sustainable maintenance option.
- Standard Fees (incl. tax)
- • Placental extract (human placental product): ¥1,200 / 1 amp (up to 2 amps)
• Whitening injection: ¥3,300
• Skin antioxidant injection: ¥4,400
• “Garlic” recovery injection (fatigue): ¥3,300
On request, IV drips (~30 min) are available instead of injections (~5 min).
- Additional fees
- first visit ¥1,500, follow-up ¥0
- Time required
- 5–30 minutes
If supply is unstable, we will propose alternatives. Depending on history, blood tests may be needed before administration (e.g., G6PD). Pregnancy/breastfeeding or serious underlying illness may be ineligible.
FAQs
- Q. Can anyone use Zepbound®/Mounjaro®?
- A. Only those who meet medical indications and safety criteria. We determine suitability at the initial evaluation.
- Q. Can I try CGM only?
- A.Yes. See the Trial CGM option above for eligibility and pricing.
- Q. Are injections/placenta always available?
- A. Supply can be unstable. New bookings or quantities may be limited depending on stock.
Required Notices (Private Care)
• All listed services are not covered by public insurance.
• Typical fees and main risks/side effects are shown above; full details are explained during consultation.
• If we use unapproved/ off-label medications, we disclose overseas approval status, procurement route, and domestic safety information on clinic signage and this page.
Booking (Web booking in preparation)
• Address Nishi-Azabu Clinic, 3F, 1-6-7 Nishi-Azabu, Minato-ku, Tokyo
• Physician in charge: Koji Hayashi, MD (Obesity Clinic / CGM Dock)
•Reservation by phone
• Payment: Cash / major credit cards
We also offer a range of vaccinations, including influenza and shingles vaccines, and we provide Minato City health checkups.
